Individual
ANGELA URREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(706) 780-1704
Mailing address
3108 GATEWOOD DR, PHENIX CITY, AL 36870-2398
(334) 560-4853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-129253
AL
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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